A New Beginning
Organization Active NPI Clinical Social Worker · Frederick, MD
NPI 1174881213 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1174881213
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 16559 (MD)
- Legal business name
- A NEW BEGINNING
- Practice address
- 120 W Church St
2
Frederick, MD 21701-7800 - Phone
- (240) 415-8128
- Fax
- (866) 800-2569
- NPI assigned
- Apr 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amanda H Showe, LCSW-C
- Title
- Clinical Social Worker
- Phone
- (410) 428-9187
National Provider Directory
Locations
120 W Church St
#2
Frederick, MD 21701
Phone (240) 415-8128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 16559 | MD | Yes |
Addresses
Primary practice location
120 W Church St
2
Frederick, MD 21701-7800
Mailing address
402 Pearl St
Frederick, MD 21701-6407
Phone (410) 428-9187
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686226 | Medicaid | MD |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.